Individual
DR. NICOLE PETERS MEDIOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
295 FOREST AVE, PORTLAND, ME 04101-2018
(207) 761-5967
Mailing address
295 FOREST AVE, PORTLAND, ME 04101-2018
(207) 761-5967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR6023
ME
Other
Enumeration date
11/05/2020
Last updated
12/11/2020
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